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130 Possible Causes for Abdominal Rigidity, Periumbilical Pain

  • Appendicitis

    Abdominal rigidity is highly specific (83%) with a low sensitivity (27%).[cdemcurriculum.com] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] rigidity, and migration of pain from the periumbilical region to the right lower quadrant increases the likelihood of appendicitis.( 7 ) Although often atypical, the history[psnet.ahrq.gov]

  • Intestinal Obstruction

    This mass may be difficult to locate in inconsolable infants because of abdominal rigidity from muscle straining. Early on, vomiting of undigested food may occur.[elearning.sumdu.edu.ua] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] The obstinate constipation, the developing abdominal distention, the rapid pulse, and the fecal character of the vomitus will point toward intestinal obstruction.[henriettes-herb.com]

  • Acute Pancreatitis

    An abdominal examination may reveal bloating, exquisite tenderness or rigidity – stiffness due to muscular contractions in your abdominal wall.[livehealthy.chron.com] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] In acute pancreatitis, the abdominal wall muscles will be rigid. When listening to the abdomen with a stethoscope, there may be very few or no intestinal sounds.[medicalnewstoday.com]

  • Mesenteric Infarction

    Examination  normal abdominal examination in the face of severe abdominal pain.  No signs of peritonitis.  abdominal tenderness ,guarding, rigidity .  These signs develop[slideshare.net] The most common is the 10—30 minutes postprandial occurring dull abdominal pain. It is periumbilically localized and lasts for one to four hours.[lecturio.com] They may develop abdominal wall rigidity. Bloody diarrhea and heme-positive stools are a late finding after bowel has infarcted.[cdemcurriculum.com]

  • Mesenteric Vein Thrombosis

    As ischemia progresses to necrosis, peritoneal signs evolve, including involuntary guarding, rebound, and abdominal wall rigidity.[ahajournals.org] A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[accesssurgery.mhmedical.com] […] and lower abdominal pain for 1 week.[mdedge.com]

  • Hemoperitoneum

    Surg Clin North Am. 2014 Feb;94(1):65-9. doi: 10.1016/j.suc.2013.10.006. Epub 2013 Oct 30. Author information 1 Section of Trauma & Acute Care Surgery, Boston Medical Center, Boston University School of Medicine, 840 Harrison Avenue, Dowling 2 South, #2414, Boston, MA 02118, USA. Electronic address: gkasot@bu.edu.[…][ncbi.nlm.nih.gov]

  • Umbilical Hernia

    The entire abdomen may become rigid and tender to touch, the Merck Manuals warn.[livestrong.com] We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[ncbi.nlm.nih.gov] Pain Umbilical hernia may cause mild pain or burning at the site which increases with activities that increase abdominal pressure such as having a bowel movement or cough.[livestrong.com]

  • Small Bowel Obstruction

    Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic[ncbi.nlm.nih.gov] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] Physical exam may reveal restlessness, acute illness, and signs of dehydration and sepsis, including tachycardia, pyrexia, dry mucous membranes, hypotension/orthostasis, abdominal[ncbi.nlm.nih.gov]

  • Intestinal Perforation

    Physical examination may reveal abdominal guarding, rigidity, signs of injury or even shock.[symptoma.com] Etiologies include: actute diverticulitis cancer inflammatory bowel disease ischemic bowel abdominal trauma Presentation Symptoms abdominal pain and rigidity Physical exam[step2.medbullets.com] The rapid emergence of symptoms: severe abdominal pain, nausea and vomiting, increased body temperature, abdominal tenderness, rebound tenderness, abdominal rigidity, bowel[acuherbxia.com]

  • Acute Mesenteric Ischemia

    Later, as necrosis develops, signs of peritonitis appear, with marked abdominal tenderness, guarding, rigidity, and no bowel sounds.[msdmanuals.com] We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[ncbi.nlm.nih.gov] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com]

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